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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved f Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> Owner's Address 0 Owner Phone Number, <br /> Fee Simpli1itleholder Name Owner Phone Number <br /> Fee SimpleiTitleholder Address <br /> JOB ADDRESS F 5�z v ILOT# <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SlGN' DEMOLISH <br /> e <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR OTHER <br /> FRAME <br /> ommTYPE OF CONSTRUCTION BLOCK [�D STEEL <br /> DESCRIPTION OF WORK 0 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> -- <br /> .................. <br /> =4UILDING <br /> $ VALUATION OF TOTAL CONSTRUCTION <br /> 17— <br /> =9LECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =P,.LUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ED' ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ....... .... <br /> BUILDER <br /> I COMPANY <br /> SIGNATURE REGISTERED Y/ N- FEE CURREN <br /> Address License# <br /> -ELECTRICIAN COMPANY <br /> -SIGNATURE' REGISTERED Y/ N FEE CURRrzr, <br /> Addr!Ss License# <br /> PLUMBEW COMPANY <br /> SIGNATURE REGISTERED -Y/ N" , FEE'CURREN LXLN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED, YJ Nr FEE,cuRREN <br /> Address License# <br /> OTHER,, - .COMPANY A,1. <br /> -SIGNATURE, REGISTERED FEE.CURREI, <br /> Address /ao 4 PK 1.3 e, License#, <br /> Attach.(2)Plot,Pjans;.(2)setsof B6 it new-constructioh <br /> ilding P.Ians;'(1)_set ofEriergy.Forms;R Perml <br /> Mlhimum`t6fi-'(-10)working days after s6binitta[date. Required onsite,Construction,Plansi Stormwater'PI6ns,.w/'SIIt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislorts/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a LifeSafety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimurntien(10)working n days after submittal date._;. equired onsite,Construction Plai1s,�Stprmwater Plans w/.-SlIt Fence installed, <br /> ,. <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 'SIGN PERMIT Attach(2)Sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> 1 : ---------- <br /> 18 rre�ti'bns!i <br /> ;Fill'out application completely. <br /> OWn&&'Contractorsign,back of.application,notarized <br /> if over$2600,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Age'nt.(fbr the contractor)-or Power of Aftorney'(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER:THE'COUNTER PERMITTING (copy of contract required) <br /> Rehdofs.ff shingles Sewers Service Upgrades AtC , Fences,(PlottSurvey/Footage) <br /> DrIVeways-Not over Counter if on Row, <br />